There are several people in this world suffering from various chronic mental illnesses. Sometimes people suffering from such mental disorders pose threat to the entire society. In such cases, patients are treated in a secure setting were they are unable to interact with anyone in the community…
Certain risk factors are also associated with treating them in secure setting hence risk assessment and management is imperative to ensure there well-being. The Mental health act has laid down certain rules for detaining patients in secure settings.
There are certain individuals suffering from severe mental disorder and highly vulnerable. Such individuals get violent at times and harm themselves and others in the society. Patients with severe mental disorders are locked up either in a hospital unit, social service units, secure hospitals and other locked settings. [Working party on psychiatric treatment within secure settings, n. d]. This is termed as secure setting. In such isolated ambience, patients are treated for their mental disorders with the help of various personnel. This kind of set up helps the patients in their recovery and reduces the risk of harming people in the community. There are countries were national homicide rate from mentally ill patients and the violence caused by them is depreciating due to the existence of secure settings. [Working party on psychiatric treatment within secure settings, n. d]. This is termed as secure setting. In such isolated ambience, patients are treated for their mental disorders with the help of various personnel. This kind of set up helps the patients in their recovery and reduces the risk of harming people in the community. There are countries were national homicide rate from mentally ill patients and the violence caused by them is depreciating due to the existence of secure settings. [Working party on psychiatric treatment within secure settings, n. d]. These settings vary from "high security hospitals, to intensive care units, challenging behaviour units and other settings were there are light physical security and short lengths of stay." [Working party on psychiatric treatment within secure settings, n. d].
Why is a secure setting required
There are various reasons that has attributed to the development of security settings for those people who can harm themselves and others in the community. The primary reason for the emergence of security setting is the potential harm that such people can cause to themselves and the community. It also improves the mental health status of individuals through various rehabilitation programs and medicines so that they return back to the community and live the life of a normal human being. The requirements of such patients are identified and appropriate treatment and care are provided to them under such set up. There are people specialised in this area of care to ensure the rehabilitation of such individuals, which may otherwise not be possible. This kind of treatment is involuntary since such patients are treated without their consent. The existence of such setting also reduces the rate of violence and homicide caused by such individuals in the community. This kind of setting ensures safety and privacy to the patients. [Safety, privacy and dignity in mental health units, n .d].
This kind of involuntary treatment in a security setting is considered ethical by certain individuals while others consider it be unethical. The security setting makes an effort towards the rehabilitation of an individual suffering from mental ailments so that they can lead a better life after recovery. These individuals are not independent therefore, in the best interest of such individuals and the community these treatments are considered ethical. [Milone, n. d].While others consider it unethical because such kind of treatment is against the principles of autonomy and libertarianism. According to these principles, people have the right to lead their life without any control by others. Certain others think that since such treatments are imposed on individuals it is ineffective in their rehabilitation. [Milone, n. d].
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